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City of Santa Ana <br />Donation <br />Y <br />ra YV mxi'r"` <br />Name: Francine Harris <br />Address: 200 S Sycamore Street, Apt. 305 <br />City, State, Zip: Santa Ana, CA 92701 <br />Email: fjharris49 @gmail.com <br />Name: Santa Ana Senior Center Advisory Board <br />i ax- exempt scams: is your organization a non -prom or public tax - exempt organization as <br />iefined under Section 501(c)(3) of the Internal Revenue Code? <br />If No, you will only qualify for a credit for City- related costs for your request (i.e. permit fees, <br />staff time, rental rates for facilities or equipment, etc.). Costs for City services vary and if <br />approved, credit may or may not cover full cost of requested City services. <br />City Manager's Office - M-31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />(714) 647 -5200 <br />Title: I Chairperson <br />Phone: (714) 975 -3968 <br />Fax: -... .. _. ....... <br />Select One: F] Yes No <br />If Yes, -... ... _. ....... <br />Tax ID #: <br />;City Services Credit <br />',Amount Requested: <br />$ 500 Date Needed: !. 11/18/16 '.Mayor /Councilmember: Sarmiento <br />:. <br />Direct Payment Amount <br />S N/A Event Date: 11/18/16 Event Time: ... <br />10.`00x171 — 1.30prY1 <br />Requested: <br />'..Event Location: <br />-:. Santa Ana Senior Center, 424 W 3rd Street, Santa Ana, CA 92701 <br />'.Address, City, State, Zip <br />i;. On November 18, 2016, the Santa Ana Senior Center Advisory Board will be collaborating to host the 2016 Thanksgiving <br />Description of <br />'': Celebration and Volunteer Appreciation Day at the Santa Ana Senior Center. The event will include food and music, as well as <br />Event / Purpose: <br />thanks - -a time to give thanks and show appreciation to those who have helped support the community in one way or another. <br />This event will benefit the community by providing an inclusive, safe space for the community to celebrate Thanksgiving <br />Community Benefit: <br />together, while also expressing appreciation to volunteers who have served and supported the community. This event is <br />part of the many different programs and events that are held at the Santa Ana Senior Center. <br />Mail: City Manager's Office -M -31 <br />20 Civic Center Plaza <br />P.O. Box 1988 <br />Santa Ana, CA 92702 <br />Date: 11/01/2016 <br />�V �i j :MM7 ,,,I: RL ,I., <br />Email: donationrequest @santa - ana.org <br />Fax: (714) 647-6954 <br />Mn stinrr IDR -a. - <br />Goui;ril Meehng <br />b'igibili Cy lVAA: YES /NO Approved Arrrrio.nrt: <br />Ci: y Mannyor vuptatture'. rate: <br />Revised 11/16/2015 <br />